Individual
JASON SCHMIT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2727 1ST AVE SE, CEDAR RAPIDS, IA 52402-4844
(319) 363-3575
(319) 363-8886
Mailing address
2727 1ST AVE SE, CEDAR RAPIDS, IA 52402-4844
(319) 363-3575
(319) 363-8886
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
08029
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210112
—
IA
01
—
08823
DELTA PROV #
IA
01
—
170454
TRICARE PROV #
IA
01
—
38294
WELLMARK PROVIDER #
IA
Enumeration date
03/09/2006
Last updated
07/09/2007
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